糖果综合征的内镜治疗,使用光线对立金属支架
Davekaran Buttar1, Mayank Goyal1, Ashwariya Ohri1
1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA.
糖果综合征是Roux-en-Y胃绕道的并发症,可以通过一种新的内镜技术来管理. 这种使用金属支架的EUS引导肠肠静脉切除术为手术提供了一种安全的替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 腹部外科手术并发症 腹部外科手术并发症
背景情况:
- 糖果棒 (CC) 或"曲棍球棒"综合征是Roux-en-Y胃旁路术 (RYGB) 后的一个不良事件.
- 它是由过长的盲 afferent 肢体造成的,导致疼痛,吐和减肥等症状.
- 手术切除是标准的治疗方法,但具有重大风险和技术挑战.
研究的目的:
- 提出一种新的内镜方法来管理CC综合征.
- 为了评估EUS导向肠肠静脉静脉切除术的安全性和有效性,使用光线施加金属支架.
主要方法:
- 一名61岁的男性患有RYGB和CC综合征,接受了内镜手术.
- 用内镜超声波 (EUS) 指导部署一个20毫米的光线对立金属支架.
- 支架在盲 afferent 肢体和Roux 肢体之间创建了一个解剖,恢复了连续性.
主要成果:
- 患者很好地忍受了手术,并恢复了口服.
- 症状在4个月内消失,证实了支架穿透性.
- 在6个月后,该患者无症状,支架被成功切除,证实了专利性凝结术.
结论:
- 带有光线对立金属支架的EUS引导肠肠静脉切除术是一种新的,微创性治疗CC综合征的方法.
- 这种方法为手术切除提供了安全有效的替代方案.
- 它有可能减少与这种RYGB并发症相关的发病率.
更多相关视频
07:44Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction
Published on: March 25, 2022
11:07Biodegradable Magnesium Stent Treatment of Saccular Aneurysms in a Rat Model - Introduction of the Surgical Technique
Published on: October 1, 2017
相关概念视频
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
Mitral Stenosis III: Medical Management
Endoscopic Procedures V: ERCP
Patient...
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
